DR. DINESH D PATEL MD
NPI 1225094527
Internal Medicine - Pulmonary Disease in Jacksonville, FL

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL 32256(904) 565-9270(904) 567-3058 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Dinesh D Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DINESH D PATEL MD (NPI 1225094527) is an individual pulmonary disease provider in Jacksonville, Florida, licensed in Florida (ME55622) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1225094527
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DINESH D PATELCredential: MD
Location Address7807 BAYMEADOWS RD E, SUITE 209Jacksonville, FL 32256-9666
Mailing Address7807 Baymeadows Rd E, Suite 209Jacksonville, FL 32256-9666 · (904) 565-9270 · Fax (904) 567-3058
Fax(904) 567-3058
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 3, 2014
NPI 1225094527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME55622
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME55622 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME55622 (FL)
7807 BAYMEADOWS RD E, Jacksonville, FL 32256

Other Identifiers 3

Medicaid373614800FL
Medicare PIN23032Y
Medicare UPINF29633

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dinesh D Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668560954
PECOS Enrollment IDI20071120000595, I20200129002964
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
515 services202 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services23 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
19 services19 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers24 claims24 services$33.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers19 claims19 services$70.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers17 claims44 services$28.37 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers21 claims111 services$15.43 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers21 claims118 services$13.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers41 claims41 services$45.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
7807 BAYMEADOWS RD E
JACKSONVILLE, FL 32256
Clinic/Center (Primary Care)
7807 BAYMEADOWS RD E, SUITE 207
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
7807 BAYMEADOWS RD E
JACKSONVILLE, FL 32256
Internal Medicine (Cardiovascular Disease)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Clinic/Center (Multi-Specialty)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Occupational Therapy Assistant
7807 BAYMEADOWS RD E, SUITE 200
JACKSONVILLE, FL 32256
Internal Medicine (Cardiovascular Disease)
7807 BAYMEADOWS RD E, SUITE 209
JACKSONVILLE, FL 32256
Physical Therapy Assistant
7807 BAYMEADOWS RD E, SUITE 200
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dinesh Patel's NPI number?

The NPI number for Dinesh Patel is 1225094527. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Dinesh Patel located?

Dinesh Patel practices at 7807 Baymeadows Rd E Suite 209, Jacksonville, FL 32256. The listed phone number is (904) 565-9270.

What is Dinesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dinesh Patel enrolled in Medicare?

Yes. Dinesh Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dinesh Patel accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) list Dinesh Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dinesh Patel affiliated with any hospitals?

According to CMS data, Dinesh Patel is affiliated with Hca Florida Memorial Hospital and Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Dinesh Patel was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.